Hospital and Outpatient Services
You must get prior authorization from the Fund for certain surgical procedures, prescriptions, equipment requests and hospital services. Refer to our Provider Quick Reference Sheets or choose any of the links below to see if you need to apply for prior authorization.
Questions? Email us at Providers@1199Funds.org. or call our Provider Services Representatives at (646) 473-7160.
Services Requiring Prior Authorization
- Outpatient Services and/or Ambulatory Surgical Procedures
- Home Care, Certain Outpatient, DME and Rx
- Laboratory Review Program
- Hospital Services
- Chiropractic Services
- High Tech Radiology and Nuclear Cardiology CPT Codes
- Prescription Program
To request prior authorization for one of these services, use our Forms for Providers resources.